| NPI | 1841709946 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JONATHAN RAY WALKER Owner/Operator 352-732-5590  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL Ch9403)  | 
| Enumeration Date | 2017-09-21 | 
| Last Update Date | 2021-10-13 |